STUDY PROTOCOL
This study identified 6 subjects who fulfilled the criteria of the study. The prior approved standard assessment format was assessed thoroughly. Under the guidance and supervision of a shoulder rehabilitation physical therapist, at the end of 6 weeks, a post intervention assessment was done for each of the subjects where in parameters including pain, tenderness, range of motion, muscle strength and the Shoulder Pain and Disability Index (SPADI) were evaluated. Pre intervention baseline measures, which were assessed at week 1 for all the 6 subjects, were obtained from their case files.
PSRP is a structured program consisting of high repetition but low resistance exercises, aimed for the strengthening of rotator cuff and scapular …show more content…
Scapular setting exercises were taught in two anti gravity positions – prone and standing. Progression of the exercises in standing was a gradual increase in resistance through different coloured therabands. The targeted groups of muscles were Rhomboids (medial scapular muscles), Serratus Anterior, Lower Trapezius and Levator Scapulae. Rotator cuff strengthening exercises were performed in standing with therabands. All 4 muscles were worked: Supraspinatus, Subscapularis, Infraspinatus and Teres minor. Supraspinatus exercises in particular could be performed in two positions: “empty can – internal rotation of the shoulder” or “full can – external rotation of the shoulder” depending on subject preference. Incidentally, most of the subjects preferred the “full can” position since it caused minimal impingement and was therefore less painful to perform. In fact, exercising in the empty can position is still highly debatable by orthopedic practitioners due to the anatomical configuration of the humerus and coracoacromial arch. Anterior and posterior capsular self-stretches were taught and patients were instructed to hold each
This study identified 6 subjects who fulfilled the criteria of the study. The prior approved standard assessment format was assessed thoroughly. Under the guidance and supervision of a shoulder rehabilitation physical therapist, at the end of 6 weeks, a post intervention assessment was done for each of the subjects where in parameters including pain, tenderness, range of motion, muscle strength and the Shoulder Pain and Disability Index (SPADI) were evaluated. Pre intervention baseline measures, which were assessed at week 1 for all the 6 subjects, were obtained from their case files.
PSRP is a structured program consisting of high repetition but low resistance exercises, aimed for the strengthening of rotator cuff and scapular …show more content…
Scapular setting exercises were taught in two anti gravity positions – prone and standing. Progression of the exercises in standing was a gradual increase in resistance through different coloured therabands. The targeted groups of muscles were Rhomboids (medial scapular muscles), Serratus Anterior, Lower Trapezius and Levator Scapulae. Rotator cuff strengthening exercises were performed in standing with therabands. All 4 muscles were worked: Supraspinatus, Subscapularis, Infraspinatus and Teres minor. Supraspinatus exercises in particular could be performed in two positions: “empty can – internal rotation of the shoulder” or “full can – external rotation of the shoulder” depending on subject preference. Incidentally, most of the subjects preferred the “full can” position since it caused minimal impingement and was therefore less painful to perform. In fact, exercising in the empty can position is still highly debatable by orthopedic practitioners due to the anatomical configuration of the humerus and coracoacromial arch. Anterior and posterior capsular self-stretches were taught and patients were instructed to hold each